He was well until 2 years ago that developed polyuria,polydipsia,fatigue and bone pain,then referred to a doctor and during work up :
Ca:14.7mg/dl Ph:1.9mg/dl PTH:728pg/ml detected for him and since Sestamibi scan was in favor of a parathyroid adenoma in the left side,parathyroidectomy done for him and pathology report showed a 2.5mm parathyroid adenoma.